| Foot And Ankle Clinic, Pc | |
|
1502 Pierce St, Sioux City, IA 51105-1246 | |
| (712) 255-0502 | |
| (712) 258-9977 |
| Full Name | Foot And Ankle Clinic, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1502 Pierce St, Sioux City, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649387424 | NPI | - | NPPES |
| 6800690 | Medicaid | SD | |
| 6800454 | Medicaid | SD | |
| 0476317 | Medicaid | IA | |
| 6800700 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00505 (Iowa) | Primary |
| Provider Name | Kham V Ung |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205937554 PECOS PAC ID: 5193708451 Enrollment ID: I20041214000794 |
| Provider Name | Gabriel R Rodriguez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558342766 PECOS PAC ID: 7214963594 Enrollment ID: I20120813000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Foot And Ankle Clinic, Pc 1502 Pierce St, Sioux City, IA 51105-1246 Ph: (712) 255-0502 | Foot And Ankle Clinic, Pc 1502 Pierce St, Sioux City, IA 51105-1246 Ph: (712) 255-0502 |
Dr. Kosta P Antonopoulos, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5885 Sunnybrook Dr, Ste E-100, Sioux City, IA 51106 Phone: 712-266-2700 Fax: 712-266-2718 | |
Sara Oelke, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2916 Hamilton Blvd Uppr C, Sioux City, IA 51104 Phone: 712-255-1621 Fax: 712-255-1389 | |
Dr. Kham V. Ung, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1502 Pierce St, Sioux City, IA 51105 Phone: 712-255-0502 Fax: 712-258-9977 | |
Dr. Marty J Kelley, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2916 Hamilton Blvd, Sioux City, IA 51104 Phone: 712-255-1621 Fax: 712-255-1389 | |
Dr. Paul Douglas Coffin, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3450 S Lakeport St, Suite B, Sioux City, IA 51106 Phone: 712-255-5048 Fax: 712-255-5263 | |
Foot & Ankle Associates Of Siouxland, P.l.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 3450 S Lakeport St, Suite B, Sioux City, IA 51106 Phone: 712-255-5048 Fax: 712-255-5263 |